Incidence of delivery by Caeserian section is gradually increasing worldwide. The present study was done to see the indications of C section in a Govt Medical college hospital in Eastern India. Data were collected retrospectively about all the live births in 3 months (Jan to March 2019) and rate and indications of C section delivery were calculated. Out of 1665 live births, 604 were done by C section(27%). Among the different indications, previous delivery by C section is the commonest indication, followed by intrauterine growth retardation and oligohydramnios. There was high prevalence of preaturity and Pregnancy induced hypertension. These indicate more careful and regular check up is needed for pregnant women during antenatal period. Rising institutional delivery may be a reason of the increase of CS in India. Emphasis on maternal nutrition should be given.